Revenue Cycle Manager

1 month ago

Silver Spring, Maryland, United States CCI Health Services Full time

CCI Health Services was founded in 1972. As a 501c (3) non-profit organization that brings high-quality and affordable healthcare to every patient during all stages of life, we are also a diverse and inclusive workplace grounded in community. As a Federally Qualified Health Center (FQHC), our mission is to lead the way to a more equitable healthcare system for everyone. Located in the DC Metro area, CCI seeks to hire professionals who are passionate about health care. Additionally, CCI Health Services:

  • Has 7 health center sites in underserved communities throughout Prince George's and Montgomery Counties serving over 34,000 patients.
  • Oversees several federal, state, and county contracts and/or grants that focus on clinical operations, patient outcomes, and access to care and services.
  • Provides health assessments for refugees, asylees, and special visa holders for the state of Maryland. The program currently sees around 2,100 patients on an annual basis.

POSITION SUMMARY:
Revenue Cycle Manager will oversee and manage the entire revenue cycle process. They will ensure efficient and accurate billing as well as the provision of high quality, cost effective, and culturally sensitive services in accordance with all Federal, State and Local agency policies and procedures.
KEY FUNCTIONS & RESPONSIBILITIES:

  • With help of the CFO, transform Central Billing Office (revenue cycle department) into a Super Bowl-caliber team:
  • Works with billing management and accounting personnel to ensure accurate/timely submission of claims and timely collections, reporting, and reconciliation between billing and accounting systems.
  • Calculate and analyze trends in revenues, adjustments, and visits.
  • Prepare and present monthly revenue cycle report to management, adjusting report with most pertinent data.
  • Facilitates, coordinates, and effectuates contract relationships with payers, including contract negotiations.
  • Reviewing financial hardship applications.
  • Review the overall billing cycle and make recommendations to obtain more accurate and efficient billing information.
  • Performs research and analysis of receivables to identify opportunities for improvement and initiate process improvements in collaboration with other stakeholders, working outside silos,
  • Participates and coordinates receivable and revenue cycle aspects of the annual audit to ensure timely finalization of audit, with positive and constructive outcomes,
  • Provide consistent communication with the Chief Financial Officer, ensuring that informational reports and materials are provided.
  • Will provide other duties as assigned by the Chief Financial Officer.

MANAGER RESPONSIBILITIES:

  • Supervises hires, and orients billing staff; assigns work, develops work schedules, and instructs proper billing procedures.
  • Development and revision of departmental billing processes/procedures; monitors staff performance and provides feedback; ensures staff is obtaining adequate billing information; provides an opportunity for associated billing training for staff.
  • Responsible for supervision of staff scheduling: paid time off, time clock management, and timesheet submission to payroll.
  • Conduct regular meetings with staff. Assures that staff expectations are consistent with the goals of CCI- Finance.
  • Ensure that each staff member understands their job description, the desired results associated with their work, and the resources available to achieve the results.
  • Ensures that all annual performance evaluations are completed by due dates.

EDUCATION AND EXPERIENCE:

  • Bachelor's degree in accounting, finance, business administration, healthcare administration, or related field.
  • 5-10 years of management experience required in a healthcare revenue cycle space, preferably with a Federally Qualified Health Center
  • Experience with eCW is required.
  • Proficient in all Microsoft Office applications as well as medical office software.
  • Proven experience in healthcare billing.
  • Sound knowledge of health insurance providers.
  • Strong interpersonal, organizational, and negotiating skills.
  • Excellent customer service skills.
  • Ability to work in a fast-paced environment.
  • Ability to work on-site is an essential duty for this position.

WORKING CONDITIONS:

  • Prolonged periods of standing, bending or working at a desk on a computer.
  • The ability to lift (up to 15lbs) is required.
  • Ability to work in a fast-paced, complex, controlled and enclosed environment with potential exposure to materials and situations that require extensive safety precautions and use of protective equipment.

Why work at CCI?

  • Extensive benefits plan
  • Generous PTO Plan, which includes time to be used for self-care and birthday
  • Nine (9) paid federal holidays
  • 403B and 457 Retirement Plan(s) + Employer match up to 4%
  • Tuition Reimbursement
  • Continuing education assistance, which can be used toward obtaining certifications, renewal of certifications, or possible conference attendance
  • An approved FQHC for the NHSC loan repayment program for certain clinical positions

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